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Recently, Pescosolido and colleagues [161] evaluated the presence of carnitine in tears of dry eye patients and suggested that the damage incurred on the ocular surface of dry eye patients may, in part, be due to a lack of carnitine in the tear film of these patients relative to the ocular surface cells and suggested use of solutions containing carnitine to reduce this damage

Here are the reasons most Americans have some degree of gut hyper-permeability syndrome

This makes it preferable for studies examining anabolic signaling, muscle protein synthesis rates, or recovery speed from tissue damage